Active NPI
Bruce Lawrence Saltz, M.D.
- Psychiatry Physician
- Boca Raton, FL
National Provider Identifier
1174579536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0056515
- Practice address
- 4800 N Federal Hwy
E 102
Boca Raton, FL 33431-5188 - Phone
- (561) 368-8430
- Fax
- (561) 362-5575
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0056515 | FL | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | ME0056515 | FL |
Addresses
Primary practice location
4800 N Federal Hwy
E 102
Boca Raton, FL 33431-5188
Mailing address
4800 N Federal Hwy
Suite E - 102
Boca Raton, FL 33431-5188
Phone (561) 368-8430
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14784 | Other | FL | BC/BS FL PROVIDER ID NO. |
| ME0056515 | Other | FL | MEDICAL EXAMINER'S NUMBER |
| P472483 | Other | FL | OXFORD INS. ID. NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 15, 2017 through Nov 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056515 | FL | MD | Geriatric Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1174579536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N FEDERAL HWY",
"address_2": "SUITE E - 102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315188",
"telephone_number": "561-368-8430",
"fax_number": "561-362-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 N FEDERAL HWY",
"address_2": "E 102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315188",
"telephone_number": "561-368-8430",
"fax_number": "561-362-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALTZ",
"first_name": "BRUCE",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0056515",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME0056515",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS FL PROVIDER ID NO.",
"identifier": "14784",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EXAMINER'S NUMBER",
"identifier": "ME0056515",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INS. ID. NO.",
"identifier": "P472483",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.